This page contains information on  endoscopic procedures to treat nerve compression in the neck.

The main procedure described should be Cervical Endoscopic Foraminotomy, which is typically performed using a minimally invasive technique called Posterior Cervical Endoscopic Foraminotomy (PCEF). In this approach, the surgeon accesses the spine from the back of the neck through a small keyhole incision. The aim is to relieve pressure on a nerve that is being compressed in the foramen - the bony tunnel where the nerve exits the spine.

PCEF can be performed using either a uniportal (full endoscopic) or biportal approach. In the uniportal technique, the camera and surgical instruments are passed through the same small channel. In the biportal approach, the surgeon uses two tiny incisions - one for the camera and one for instruments - offering more flexibility. Both methods are minimally invasive and chosen based on the surgeon's preference and the patient's anatomy.

There are two variations of this procedure:

  • Standard PCEF: where the nerve is decompressed by removing a small portion of bone around the nerve canal. 
  • PCEF with Discectomy: where, in addition to decompressing bone, part of a bulging or slipped disc is also removed if it is pressing on the nerve.

This approach does not require spinal fusion and preserves movement in the neck.

SEERAS Referrals - For Medical Professionals, GPs and MSK Services


Cervical endoscopic foraminotomy is suited for patients experiencing pain, tingling, numbness, or weakness
in the arms caused by a trapped nerve in the neck. This is often due to a slipped disc or narrowing of the
nerve canal. It may be considered when symptoms have not improved with physiotherapy or spinal injections.


Endoscopic spinal surgery offers several benefits compared to traditional open procedures. It involves
smaller incisions, less disruption to muscles and tissues, reduced post-operative pain, and faster recovery.

Most procedures can be done as day cases, and patients usually return to normal activities more quickly.
Importantly, it avoids the need for spinal fusion.


We accept referrals for cervical spinal endoscopy from local, regional, and national services. Referrals can be made by GPs, MSK clinicians, or secondary care consultants. Patients cannot self-refer, but they can discuss a referral with their GP or healthcare provider.

SEERAS Referrals - For Medical Professionals, GPs and MSK Services.